First of all, do not drink alcohol while on antabuse treatment. Symptoms like low blood pressure, fast heartbeat, nausea, flushing, chest pain, thirst, and vertigo may occur when alcohol is imbibed during antabuse therapy.

You should not take antabuse for at least 12 hours after drinking alcohol. Note that reactions still may occur from drinking alcohol for several weeks after you have ceased antabuse treatment.

Be careful of the alcohol content of other common produce such as cough and cold medicines and food products. Alcohol in these products can also come in contact with antabuse and cause a reaction.

Inform your doctor that you are taking antabuse pills before taking any antibiotics or before having a surgery.

Do not come in tactile contact or breathe the fumes of products that may contain alcohol. Things like paint thinners, lacquers, solvents, stains and others might trigger a reaction with antabuse. Be mindful when applying or using any other products that may contain alcohol content, including colognes, perfumes, antiseptics, aftershaves, mouthwashes, etc. Ask your doctor or pharmacist if you have any questions regarding alcohol content in a certain product.

Before taking Antabuse pills, tell your doctor if you are on any of the following drugs:

- Isoniazid (or Nydrazid)

- MAOI (Monoamine oxidase inhibitors) like isocarboxazid (Marplan), tranylcypromine (Parnate) or phenelzine (Nardil)

- Benzodiazepines like diazepam (Valium), chlordiazepoxide (Librium), temazepam (Restoril), alprazolam (Xanax), triazolam (Halcion), clorazepate (Tranxene), etc.

- Tricyclic antidepressants like nortriptyline (Pamelor), amitriptyline (Elavil), doxepin (Sinequan), imipramine (Tofranil), etc.

- Also, you should avoid the following medicines: warfarin (Coumadin), theophylline (Theo-Dur), phenytoin (Dilantin), lithium (Lithobid, Eskalith and others), metronidazole (Flagyl)

Other drugs might also interact with antabuse. Discuss it with your doctor and pharmacist before taking prescribed drugs or other medicines such as vitamins, minerals, and herbal products.


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